PETEYBOY PROPERTIES LLC · Nursing Facility/Intermediate Care Facility

Address: 194 State Highway Mm, Niangua, MO 65713-8411

ANNA'S HOUSE RESIDENTIAL CARE FACILITY LLC (NPI# 1316488075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316488075
Entity Type Organization
Other Organization Name PETEYBOY PROPERTIES LLC (Doing Business As Name)
Practice Address 194 State Highway Mm
MO 65713-8411
Practice Telephone 4174736000
Practice Fax Number 4174736000
Mailing Address 194 State Highway Mm
MO 65713-8411
Mailing Telephone 4174736000
Mailing Fax Number 4174736000
Enumeration Date 2017-03-14
Last Update Date 2017-03-14
Authorized Official Telephone 4178397637
Authorized Official Credential RN
Is Organization Subpart N


Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility LC001439602 MO Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Peteyboy Properties LLC Doing Business As Name

Office Location

Street Address 194 STATE HIGHWAY MM
State MO
Zip Code 65713-8411

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1245304237 Niangua R-V School Local Education Agency (LEA) 301 Rumsey St, Niangua, MO 65713-8432 2006-11-20
1750758330 Abbie Pinnegar Speech-Language Pathologist 301 Rumsey St, Niangua, MO 65713-8432 2015-08-30

Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841667565 Univest, LLC 1401 W 3rd St, Sedalia, MO 65301-3603 2015-08-28
1417334137 Holistic Healthcare LLC 4630 Robbins Grove Dr, Florissant, MO 63034-2840 2015-05-01
1295123420 Erin Eggen 1101 Clay Street, Versailles, MO 65084 2014-12-22
1518303296 Leaetta Mildred Gardner 13450 County Road 7040, Rolla, MO 65401 2013-05-21
1376893297 Reliant Care Rehabilitative Services 411 Robert Ave, Ferguson, MO 63135-3526 2012-09-18
1487975363 Neighborhood Outreach Center · Loving Care Adult Day Care 5325 Dr Martin Luther King Dr, Saint Louis, MO 63112-4256 2010-06-15
1205168523 Nirmal K Samanta 250 Brandy Ln, Cape Girardeau, MO 63701-8443 2010-02-11
1083882682 Crestwood Health Care Center, L.L.C. · Crestwood Health Care Center 11400 Mehl Avenue, Florissant, MO 63033-7204 2008-02-15
1225228455 St Josephs Hill Infirmary Inc 265 St Joseph Road, Eureka, MO 63025-0550 2007-07-25
1316148026 Jones Wildwood Care Center 12806 Highway 151, Madison, MO 65263-3114 2007-05-30
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.